PMID- 28377044 OWN - NLM STAT- MEDLINE DCOM- 20180219 LR - 20181113 IS - 1525-0024 (Electronic) IS - 1525-0016 (Print) IS - 1525-0016 (Linking) VI - 25 IP - 5 DP - 2017 May 3 TI - Gene Therapy for beta-Hemoglobinopathies. PG - 1142-1154 LID - S1525-0016(17)30123-5 [pii] LID - 10.1016/j.ymthe.2017.03.024 [doi] AB - beta-Thalassemia and sickle cell disease (SCD) are the world's two most widely disseminated hereditary hemoglobinopathies. beta-Thalassemia originated in the Mediterranean, Middle Eastern, and Asian regions, and SCD originated in central Africa. However, subsequent population migration means that these two diseases are now global and thus constitute a growing health problem in many countries. Despite remarkable improvements in medical care for patients with beta-hemoglobinopathies, there is still only one definitive treatment option: allogeneic hematopoietic stem cell (HSC) transplantation. The development of gene therapy for beta-hemoglobinopathies has been justified by (1) the limited availability of human leukocyte antigen (HLA)-identical donors, (2) the narrow window of application of HSC transplantation to the youngest patients, and (3) recent advances in HSC-based gene therapy. The huge ongoing efforts in translational medicine and the high number of related publications show that gene therapy has the potential to become the treatment of choice for patients who lack either an HLA genoidentical sibling or an alternative, medically acceptable donor. In this dynamic scientific context, we first summarize the main steps toward clinical translation of this therapeutic approach and then discuss novel lentiviral- and genome editing-based treatment strategies for beta-hemoglobinopathies. CI - Copyright (c) 2017 The American Society of Gene and Cell Therapy. Published by Elsevier Inc. All rights reserved. FAU - Cavazzana, Marina AU - Cavazzana M AD - Biotherapy Department, Necker Children's Hospital, Assistance Publique-Hopitaux de Paris, 75015 Paris, France; Biotherapy Clinical Investigation Center, Assistance Publique-Hopitaux de Paris, INSERM, Groupe Hospitalier Universitaire Ouest, 75015 Paris, France; INSERM UMR 1163, Laboratory of Human Lymphohematopoiesis, 75015 Paris, France; Paris Descartes, Sorbonne Paris Cite University, Imagine Institute, 75015 Paris, France. Electronic address: m.cavazzana@aphp.fr. FAU - Antoniani, Chiara AU - Antoniani C AD - Paris Descartes, Sorbonne Paris Cite University, Imagine Institute, 75015 Paris, France; INSERM UMR 1163, Laboratory of Chromatin and Gene Regulation, 75015 Paris, France. FAU - Miccio, Annarita AU - Miccio A AD - Paris Descartes, Sorbonne Paris Cite University, Imagine Institute, 75015 Paris, France; INSERM UMR 1163, Laboratory of Chromatin and Gene Regulation, 75015 Paris, France. Electronic address: annarita.miccio@institutimagine.org. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20170401 PL - United States TA - Mol Ther JT - Molecular therapy : the journal of the American Society of Gene Therapy JID - 100890581 RN - 0 (HLA Antigens) RN - 0 (beta-Globins) SB - IM MH - Anemia, Sickle Cell/genetics/metabolism/pathology/*therapy MH - Gammaretrovirus/genetics/immunology MH - Gene Editing/*methods MH - Gene Expression MH - Genetic Therapy/*methods MH - Genetic Vectors/chemistry/immunology MH - HLA Antigens MH - *Hematopoietic Stem Cell Transplantation MH - Hematopoietic Stem Cells/cytology/metabolism MH - Humans MH - Lentivirus/genetics/immunology MH - Mutation MH - Tissue Donors MH - Transplantation, Homologous MH - beta-Globins/*genetics/metabolism MH - beta-Thalassemia/genetics/metabolism/pathology/*therapy PMC - PMC5417842 OTO - NOTNLM OT - gene therapy OT - hematopoietic stem cell OT - hemoglobinopathies OT - sickle cell disease OT - thalassemias EDAT- 2017/04/06 06:00 MHDA- 2018/02/20 06:00 PMCR- 2018/05/03 CRDT- 2017/04/06 06:00 PHST- 2017/03/14 00:00 [received] PHST- 2017/03/15 00:00 [revised] PHST- 2017/03/15 00:00 [accepted] PHST- 2017/04/06 06:00 [pubmed] PHST- 2018/02/20 06:00 [medline] PHST- 2017/04/06 06:00 [entrez] PHST- 2018/05/03 00:00 [pmc-release] AID - S1525-0016(17)30123-5 [pii] AID - 10.1016/j.ymthe.2017.03.024 [doi] PST - ppublish SO - Mol Ther. 2017 May 3;25(5):1142-1154. doi: 10.1016/j.ymthe.2017.03.024. Epub 2017 Apr 1.